Mr safety determination physician/other qhp at West Kendall Baptist Hospital
9555 SW 162 AVE, MIAMI, FL · Baptist Health South Florida · · NPI 1417279936
$242.45
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$373.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$63.78 with BLUE CROSS vs $373.00 with UNITED HEALTHCARE — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BLUE CROSS | MY BLUE EX | $63.78 | ↓ -74% |
| MEDICARE MANAGED CARE | PROMINENCE | $90.88 | ↓ -63% |
| MEDICARE | SIMPLYHLTH MC HMO NC | $90.88 | ↓ -63% |
| BLUE CROSS | BCBS MEDICARE PPO | $94.06 | ↓ -61% |
| MEDICA HEALTH PLAN | MEDICA MCR HMO | $97.24 | ↓ -60% |
| HUMANA | HUMANA MEDICARE | $99.06 | ↓ -59% |
| HUMANA | CAREPLUS MC HMO | $99.06 | ↓ -59% |
| MEDICARE MANAGED CARE | DOCTORS HEALTHCARE MC HMO | $99.97 | ↓ -59% |
| AVMED | AVMED MEDICARE | $99.97 | ↓ -59% |
| LEON MEDICAL | LEON HEALTH MC HMO | $101.78 | ↓ -58% |
| AETNA | AETNA MEDICARE | $101.78 | ↓ -58% |
| LEON MEDICAL | LEON MED MC HMO NC | $101.78 | ↓ -58% |
| CIGNA | CIGNA MEDICARE ADVANTAGE | $103.60 | ↓ -57% |
| UNITED HEALTHCARE | UNITED HLTH MC HMO | $117.12 | ↓ -52% |
| MEDICARE | DEVOTED HEALTH MC HMO | $122.69 | ↓ -49% |
| AVMED | AVMED ENTRUST | $130.92 | ↓ -46% |
| NON CONTRACTED | OSCAR HEALTH EXCHANGE | $136.89 | ↓ -44% |
| AETNA | AETNA HMO EXCHANGE | $141.74 | ↓ -42% |
| CIGNA | CIGNA CONNECT NETWORK EXCHANGE | $141.74 | ↓ -42% |
| AVMED | AVMED INDIVIDUAL | $148.83 | ↓ -39% |
| AVMED | AVMED HMO | $152.56 | ↓ -37% |
| BLUE CROSS | BLUE SELECT | $156.66 | ↓ -35% |
| BLUE CROSS | BCBS FL SIMPLYBLUE HMO | $161.51 | ↓ -33% |
| AMERIHEALTH | AMERIHTH CARITAS NXT EX | $167.85 | ↓ -31% |
| AVMED | AVMED PPO | $181.65 | ↓ -25% |
| AETNA | AETNA TIER 2 | $190.23 | ↓ -22% |
| AETNA | AETNA HMO | $190.23 | ↓ -22% |
| AETNA | AETNA CATASTROPHIC | $190.23 | ↓ -22% |
| CIGNA | CIGNA HMO | $193.96 | ↓ -20% |
| UNITED HEALTHCARE | NHP HMO | $223.80 | ↓ -8% |
| UNITED HEALTHCARE | UNITED HMO | $223.80 | ↓ -8% |
| BLUE CROSS | BCBS NETWORKBLUE | $223.80 | ↓ -8% |
| BLUE CROSS | BLUE CARE HMO | $223.80 | ↓ -8% |
| BLUE CROSS | BLUE CROSS | $241.70 | ↓ -0% |
| INTERNATIONAL | INTERNATIONAL AETNA | $242.45 | ↑ +0% |
| DIMENSION HEALTH PLAN | DIMENSION PLUS | $279.75 | ↑ +15% |
| UNITED HEALTHCARE | UNITED PPO | $298.40 | ↑ +23% |
| CIGNA | CIGNA PPO | $298.40 | ↑ +23% |
| UNITED HEALTHCARE | INTL UNITED HEALTH | $298.40 | ↑ +23% |
| AETNA | AETNA PPO | $298.40 | ↑ +23% |
| AFFORDABLE | AFFORDABLE PPO | $335.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION HEALTH PLANS | $335.70 | ↑ +38% |
| DIMENSION HEALTH PLAN | DIMENSION 2 | $335.70 | ↑ +38% |
| PHCS | PHCS | $335.70 | ↑ +38% |
| QUALITY HEALTH | MULTIPLAN | $335.70 | ↑ +38% |
| UNITED HEALTHCARE | UNITED INDIVIDUAL EXCHANGE | $373.00 | ↑ +54% |
Visitor-reported prices
Comments
Mr safety determination physician/other qhp at other Florida hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baptist Hospital | MIAMI | $242.45 | $64.53 – $335.70 |
| HCA FLORIDA MERCY HOSPITAL | MIAMI | not published | $198.11 – $198.11 |
| Adventhealth Daytona Beach | Daytona Beach | $210.74 | $86.33 – $151.68 |
| Adventhealth Lake Wales | Lake Wales | $252.89 | $90.88 – $201.75 |
| Adventhealth Palm Coast Parkway | Palm Coast | $210.74 | $86.33 – $220.13 |
| Adventhealth Tampa | Tampa | $295.04 | $90.88 – $201.75 |
| AdventHealth New Smyrna Beach | New Smyrna Beach | $210.74 | $86.33 – $198.52 |
| cleveland clinic florida weston hospital | Weston | $665.60 | $27.90 – $646.00 |